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HomeMy WebLinkAboutPermit Building 2014-3-3 , SPRINGFIELD 225 Fifth St • '`' - CITY OF SPRINGFIELD Springfield,OR 97477 Phone: 541-726-3753 '' OREGON Building / Commercial Permit Inspection-Phone: 541-726-3769 Fax: 541-726-3676 PERMIT NO: 811-SPR2014-00259 www.springfield-or.gav permitcenter @springfield-or.gov PROJECT STATUS: Issued ISSUED: 03/03/2014 EXPIRES: 08/30/2014 STATUS DATE: 03/03/2014 APPLIED: 02/10/2014 • SITE ADDRESS: 1040 GATEWAY LOOP,Springfield,OR 97477 SCOPE: Tenant Infill ASSESOR'S PARCEL NO: 1703222002402 TYPE OF STRUCTURE: Commercial PROJECT DESCRIPTION: Tenant inf ill for dentist office • OWNER: NECA-OREGON-PACIFIC-CASCADE CHAPTER Phone Number: ADDRESS: 1040 GATEWAY LOOP STE A SPRINGFIELD OR 97477 L CONTRACTOR INFORMATION Contractor Type Contractor Name Lic Type Lic No Lic Exp Phone General Contractor MCINTYRE CONSTRUCTION INC CCB 3550 10/08/2015 541-687-2841 • L INSPECTIONS REQUIRED Inspections - 1260 Framing Framing Inspection: Prior to cover and after all rough in inspections have been approved. -w 1530 Exterior Shearwall 1540 Gypsum Board/Lath/Drywall Drywall: Prior to taping. Lath/Plaster: To be made after all lathing and gypsum board, interior and exterior are in place, but prior to plastering. 1800 Emergency Egress Lighting 1999 Anal Building Final Building: After all required inspections have been requested and approved and the building is complete. 8999 Final Fire By signature, I state and agree,that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building-Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time,that each address is readable from the street,that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction. /30 --- . 3 / M Owner Sun,r�pr Signature Date ATTENTION: Oregon law requires you to q1�S PERCM/ follow rules adopted by the Oregon Utility CONj�FR/2EO��A(( FXpI in OAR 952-001-0010 through OAR 952-001- - �Ny 180 NCFD OR DFR 'THIS RF/FT ?' ` • 0090. You may obtain copies of the rules by Dgy IS4 PFR bit . calling the center. (Note: the telephone PFR/o0 BIND0Alp• M/TISN RK number for the Oregon Utility Notification D FOR oT Center is 1-800-332-2344). Springfield Building Permit 3/3/2014 1:10:18PM Page 1 of 1 SPRINGFIELD CITY OF SPRINGFIELD .1k" " • Fifth O 225 TRANSACTION RECEIPT 566996919,0R Fift h St 97477 OREGON 541-726-3753 811-SPR2014-00259 www.springfield-or.gov - 1040 GATEWAY LOOP permitcenter @springfield-or.gov RECEIPT NO: 2014000466 RECORD NO: 811-SPR2014-00259 DATE:03/03/2014 DESCRIPTION'.. Kaial.tK,'=s;:z.aF'L%1!?k A 4�-'"./ACCOUNT CODE/TRANS;CODP:„=Wiit=AMOUNT DUET. Building Permit Fee 224-00000-425602 1002 980.80 Fire, Life, Safety Plan Review 224-00000-425602 1077 392.32 • Planning-Minor Review-City 100-00000-425002 1231 119.00 SDC:Administrative Fee-MWMC Regional Wastewater SDC 611-00000-426604 1189 10.00 SDC: Compliance Cost-MWMC Regional Wastewater SDC 444-00000-426607 1113 1138 SDC: Improvement-Transportation SDC 447-00000-448027 1174 8,495.74 SDC: Improvement Cost-Local Wastewater 443-00000-448025 1184 557.11 SDC: Improvement Cost-MWMC Regional Wastewater SDC 445-00000-448025 1187 858.82 SDC: Reimbursement-Transportation SDC 446-00000-448026 1173 2,330.99 SDC: Reimbursement Cost-Local Wastewater 442-00000-448024 1183 1,141.46 SDC: Reimbursement Cost-MWMC Regional Wastewater SDC 444-00000-448024 1186 67.83 SDC:Total MWMC Administration Fee—Local 719-00000-426604 1121 47.50 SDC:Total Sewer Administration Fee 719-00000-426604 1175 84.93 SDC:Total Transportation Administration Fee 719-00000-426604 1190 541.34 State of Oregon Surcharge(12%of applicable fees) 821-00000-215004 1099 117.70 Technology fee(5%of permit total) 100-00000-425605 2099 49.04 TOTAL DUE: 15,807.96 MPAYMENTTiYPE ,P.AYOR casri R:41ARSOR -COMMENTS AMQUNTIRAID I Credit Card MCINTYRE CONSTRUCTION INC 9,500.00 08336C Check MCINTYRE CONSTRUCTION INC 6,307.96 1006 • TOTAL PAID: 15,807.96 • • • • ■ SPRINGFIELD _. CITY OF SPRINGFIELD 225 Fifth St `� EGO TRANSACTION RECEIPT SpringfieId,OR97477 541-726-3753 811-SPR2014-00259 www.springtield-or.gov 1040 GATEWAY LOOP permitcenter @springtield-ar.gov RECEIPT NO: 2014000246 RECORD NO: 811-SPR2014-00259 DATE:02/10/2014 ;DESCRIPTION_ _.,- _ ACCOUNT CODEJTRANS CODE . _ AMOUNT DUE Structural Plan Review Fee Commercial 224-00000-425602 1060 637.52 TOTAL DUE: 637.52 PAYMENTTYPEPAYOFt CASHIER:CCARPEN7ER__ COMMENTS _.-,_._ .'AMOUNT PAID ` t Credit Card McIntyre Const 637.52 09016g TOTAL PAID: 637.52 • . Structural Permit Application SPRINGFI ELD REP TMENT,xI'JSE o M., .:.,. CITY OF SPRINGFIELD, OREGON " ' REGOM Permit n0.: G 7 225 Fifth Street•S rin gf ua d,OR 97477•PH(541)726-3753♦F AX(541)726-3689 . Date: -2, /�/i ye This permit is issued under OAR 918-460-0030.Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. • [*5ag ' L OCAL' GQVERNMENT'APPROVAL k.� � `"`'' "'L '�`'r< ` "' '' ic --- x . _ �,�� ,r,�. --?,, �.�EE CS HEDl1LE �", -: 1 This project has final land-use approval. i.:-. luationginfor n v. ,,.,- °x„m .g' - } Signature: Date: (a)lob description: . - • This project has DEQ approval. • Occupancy Signature: Date: Zoning approval verified: 111 Yes El No Construction type: Property is within flood plain: ❑Yes ❑No Square feet: 2a 7 5 n"4' $,.--,;, CATEGORYTOT ONSTRUCT7 Amer , Cost per square foot: ❑Residential ❑Government ommerctal Other information: n` ,.,OBISITE M FORMAT QNrp DI4LOCA TTONi ;'tie .. Type of Heat: Job site address: i O Y(] (.. .-t e.AC9- G - Energy Path: City 5p(') A tQd State: ZIP:47477 ❑new emtion ❑addition . Subdivision: Lot no.: (b)Foundation-only permit? ❑Yes ❑No Reference: 170 3Z Z Z 1Taxlot: 0 Z H D Z - Total valuation: $/cOrk el,;. ` dPROPERTIY WNER " :,-,. c .:5:T€ m-y.._�.r:.-.. ,Te :.L - a�v- zs, 2 Budding fees-'�.,• 3' r. 6 '�."-`s'"46 . s_f'r sa � , Name: N�C,4 (a)Permit fee(use valuation table): $ Address: S �,1 Jo(-/0 64--311-447 9 � (j. � L P (b)Investigative fee(equal to[2a]): $ City: 5p/co State: cpe ZIP: `' 7(777 (c)Reinspection($ per hour): $ Phone: Fax: - - (number of hours x fee per hour) E-mail: (d)Enter 12%surcharge(.12 x[2a+2b+2c]): $/I 7 72 (e)Subtotal of fees above(2a through 2d): $ Building Owner or Owner's agent authorizing this application: R.3 p'a g�' ew fees -stir r°„ ""' """ (a)Plan review(65%x permit fee[2a]): - $Lj37 5? Sign here: (b)Fire and life safety(40%x permit fee[2nD: $59272 ❑This installation is being made on residential or fans property owned by (c)Subtotal of fees above(3a and 3b): $ me or a member of my immediate family,and is exempt from licensing 4.3Mt Cellar o 9�fee9 "Ayr '1`- °-'� 4 u°�'' ' c'T requirements under ORS 701.010 -' :.*ai$ ,„„'a ,;;•,CONTRACTOR [NSTA LATION :.3 (a)Seismic fee, l%(.01 x pemut fee[2a]): $ Business name: ikek����-,\ C.6 A sk Ck`0 t1 (b)Technology fee,5%(.05 x permit fee[2a]): $ -/�� C}©�"7 Z , t I O C f�u-� TOTAL fees and surcharges(2e+3c+4a+4b): $"� Jo Address: W 6 i 77 . City: \3u4 efle State: op... ZIP:g7VOZ,' Phone:5 4 4 7 2%L,{e�t Fax:st[I -� G 7 St E-mail: a(\dce Ui - ; '- Cbf194-Cl.AL4-„ CCt9(4...1 CCB license no.: O 0 3 SS 0 Print name: And e_W McT3+ye - 5p6 i)on Signature: — �,„�=5U6 CQNTRACTORfNEORMAT.fON� :�� �_ Name CCB License ft Phone Number Electrical Plumbing • ' IMOSOv plA-rnb°n ._ Mechanical t yve.-�L.ve. c4;f